NARENDRA DEVA D.A.V. PUBLIC SCHOOL (Affiliated to C.B.S.E., New Delhi) Under Direct Control of D.A.V. College Managing Committee New Delhi Kumarganj, Faizabad – 224229 Sr. No………………. ADMISSION FORM Class in which admission is sought for…………………………………………….Session……………… 1. a) Name of the child in full(in capital letters)…………………………..…………………………. b) Sex- 2. Male Date of Birth Female Day Month Year In Words………………………………………………………………………………………………………….. Age of the student as on 31st March, 2015 Days Month 3. Blood Group of the Child…………………………………… 4. Do you belong to Gen/SC/ST/OBC/EWS/Disabled/S.G. Child? Gen 5. SC ST OBC EWS Disabled Yrs Single Girl Details of Parents: Details of Mother & Father i) Name (block letters) ii) Nationality / occupation iii) Name of office & full Address with Telephone no. Full Residential Address with Telephone no. iv) v) Permanent Address vi) Annual Income Mother Father 6. Name & Address of local guardian(if any) ……………………………………………………………….. 7. Name & Address of the School last attended with class………………………………………….. 8. Whether last school was CBSE affiliated………………………………………………………………… 9. If the last school was not affiliated with CBSE, specify name of the board………………… 10. Result of last examination…………………. b) Percentage………………………….. Subject proposed to offer: 1 …………………………..….…… 2 ……………………..….…………….. 3…………………………… 4 ………………………….. 5 ..………………………. 6 …………………………… 11. Whether the transfer certificate is attached Yes/No. 12. Mother tongue…………………………….. Date of T.C…………………. Home Town ……………………………… DECLARATION BY THE PARENTS I hereby declare that the above information furnished by me is correct to the best of my knowledge & belief . I shall abide by the rules of the School. Date ……………………….. Signature of Parents FOR OFFICE USE ONLY 1. Certified that I have checked the application form and the relevant papers are found in order. 2. Please admit to class ……………………….. section………………. After checking the relevant paper and realization of fund. Date:……………. Principal Admitted in class……………………… Section ……………… Fee Receipt No…………………… Dated ………………………. Issued Details of Amount received: Admission Fee Rs………………………….. Tuition Fee Rs………………………….. Any other Fee Rs………………………….. Computer Fee Rs………………………….. Total Rs………………………….. Name has been entered in the class/Attendance Register Yes No Certified that all the entries have been made in the scholar’s Register and dues have Been received Registration No. of the student in Admission withdrawal Register is …………………………. Date: ……………………… Office Suptd. ………………………… Admission considered by the school is in accordance with the provisions of the Board & approved. Date:……………………. Signature of Principal/Office Seal